What a lunge asks of the lower back, and what no study has countedEmerging evidence
In a lunge the front hip bends and does most of the work, while the back leg's hip is pushed towards straight or beyond. The hip itself has only so much room. In 120 healthy young adults filmed on low-dose X-ray holding a lunge, with the front foot on a 40 cm step and the trunk upright, the back hip had about 16 degrees of extension in reserve on average, with a wide spread between people. The pelvis on average tipped slightly backward, though it tipped forward in people with a flatter lower spine.
So it is our reading, not a measured fact, that when the back hip runs out of room in a long, deep lunge, the lower back can arch to make up the difference. No study has measured the lower back in a moving lunge or in people with back pain. The trunk matters too: leaning forward moved work to the glutes and hamstrings in 10 adults, and its effect on the back muscles is mixed (more below). Holding a dumbbell on one side made the back muscles on the other side work harder in 42 athletes. No study counts back pain from lunges, so the map on this page is built from what each cause is known to do.
Sources 1, 2, 3, 4, 5
Where it hurts: the back muscles, the SI joint, a nerve and the pelvis in pregnancyEmerging evidence
An ache across the lower back after walking or weighted lunges is usually the back muscles working hard, or ordinary low back pain. Pain on one side below the belt, by the dimple at the back of the pelvis and into the upper buttock, is where the sacroiliac (SI) joint refers pain: in an injection study of 10 volunteers, the sore area ran about 10 cm down and 3 cm out from the dimple. It is recognised by a cluster of tests: 3 or more of 6 that bring on the usual pain picked out 94% of people whose pain an anaesthetic joint injection confirmed. A review puts the SI joint behind about 10% to 25% of persistent back pain felt below the waist; in athletes with back pain the figure was about a third, but the authors call it unreliable.
Pain, tingling or numbness travelling below the knee is a trapped nerve (sciatica), the NHS says. In pregnancy, pain at the back of the pelvis or the pubic bone, worse standing on one leg, on stairs and moving the legs apart, is pelvic girdle pain, which affects up to 1 in 5 pregnant women and isn't harmful to the baby. Neither the NHS nor the UK's pelvic health physiotherapists name lunges; they name standing on one leg and moving the legs apart, both parts of a lunge.
Sources 6, 7, 8, 9, 10, 11, 12
Who gets it, and what is rareEmerging evidence
The lower back is one of the commonest sites of pain in the lifting sports, but injury rates are low, and strains are the commonest type: in US emergency departments the lower trunk made up about 1 in 5 weight-training injuries, and sprains or strains about half. In 104 powerlifters, the lower back and pelvis was the commonest current injury, and only 16% of the injured stopped training completely. None of these studies names lunges.
The people it usually bothers, in our reading: people new to lunges or lunge challenges, or who add walking lunges, weights or reps quickly; people who lunge with a long stride and a big lean; people whose back already hurts for other reasons; teenagers in sports that arch the back; and women in pregnancy. Hip differences are common in people with back pain, mostly less inward rotation and weaker hip muscles at the side and back, which is one reason the plan trains the hips.
Serious causes are rare. The NHS says that, very rarely, back pain is a sign of a serious problem such as a broken bone, cancer or an infection; the warning signs on this page pick these out without alarming everyone else.
Sources 13, 14, 15, 16, 17, 18, 19
When a scan helpsStrong evidence
Not for back pain from lunges without warning signs. The National Institute for Health and Care Excellence (NICE) says don't routinely offer imaging outside specialist care, and to consider it there only if the result is likely to change what is done. Scans mislead on their own: disc bulges showed in 30% of 20-year-olds and 84% of 80-year-olds without back pain, across 33 studies of 3,110 people. SI joint pain is recognised by a physiotherapist's cluster of tests rather than a scan. A teenager whose back hurts more arching needs a doctor's check, which may include imaging, and the warning signs come before any of this.
Sources 20, 21, 7, 8
How it usually goesStrong evidence
No study follows back pain from lunges. In new episodes of low back pain, average pain fell from 56 to 26 out of 100 within 6 weeks and was 21 at a year (moderate-certainty evidence), so it usually eases a lot, though a little often lingers; pain that has lasted more than 3 months changes more slowly. The NHS says back pain usually improves within a few weeks but can last longer or keep coming back.
Most powerlifters with back pain keep training with changes. Teenagers with a stress fracture of the spine usually return to sport without surgery: about 92% across 11 studies, on average after about 4.6 months in another review. No one can promise a date.
Sources 22, 19, 15, 23, 24